Multisite pacing via a quadripolar lead for cardiac resynchronization therapy

J Interv Card Electrophysiol. 2019 Oct;56(1):117-125. doi: 10.1007/s10840-019-00592-1. Epub 2019 Jul 18.

Abstract

Cardiac resynchronization therapy is challenging. Up to 40% of patients are non-responder. Multisite pacing via a quadripolar lead, also called multipoint/multipole pacing (MPP), is a debated alternative. In this review, we summarize evidence in the literature, tips and pitfalls related to MPP programming, and the different algorithms of MPP in different manufacturers.

Keywords: Biventricular pacing; Cardiac resynchronization therapy; Multipoint pacing; Multisite pacing.

Publication types

  • Review

MeSH terms

  • Algorithms
  • Cardiac Resynchronization Therapy / methods*
  • Cardiac Resynchronization Therapy Devices*
  • Electrodes, Implanted
  • Humans